Merrill Douglas G, Laur John J
Outpatient Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Way, Lebanon, NH 03753, USA.
Anesthesiol Clin. 2010 Jun;28(2):329-51. doi: 10.1016/j.anclin.2010.02.012.
Quality of care and service in health care can benefit from the use of algorithm-driven care (standard work) that integrates literature assessment and analysis of local outcome and process data to eliminate unnecessary variation that causes error and waste. Effective management of an ambulatory surgery center requires that leadership emphasize constant improvement in the processes of care to achieve maximum patient safety and satisfaction, delivered with highest efficiency. Process improvement may be achieved by simple measurement alone (the Hawthorne effect). However, as shown in this article, the authors have successfully used the implementation of regular measurement and open discussion of patients' clinical outcomes and other operational metrics to focus active systems improvement projects in ambulatory surgery centers, with excellent results.
医疗保健中的护理和服务质量可受益于使用算法驱动的护理（标准工作），该护理整合了文献评估以及对当地结果和过程数据的分析，以消除导致错误和浪费的不必要差异。门诊手术中心的有效管理要求领导层强调持续改进护理流程，以实现最高的患者安全性和满意度，并以最高效率提供服务。仅通过简单的测量（霍桑效应）就可以实现流程改进。然而，如本文所示，作者成功地运用了定期测量以及对患者临床结果和其他运营指标进行公开讨论的方法，将积极的系统改进项目聚焦于门诊手术中心，取得了优异的成果。
